Jennifer Marguerite Ryan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA050323 Issued in NJ

Practice address

1 Industrial Way W BLDG B
Eatontown, NJ 07724-4209

Phone

(732) 935-0500

NPI assigned

Jun 16, 2008

Last updated

Dec 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jenniferryan@sgma.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Browne Medical, LLC

  • Urgent Care Clinic/Center
  • South Plainfield, NJ
  • NPI 1851733349
  Medicare reassignment NPD
• Health Care for Life LLC

  • Internal Medicine Physician
  • Oakhurst, NJ
  • NPI 1629139761
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576281600000",
    "number": "1255591822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDUSTRIAL WAY W BLDG B",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077244209",
            "telephone_number": "732-935-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INDUSTRIAL WAY W BLDG B",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077244209",
            "telephone_number": "732-935-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 White Rock Rd",
            "address_2": "#3205",
            "address_purpose": "LOCATION",
            "city": "Verona",
            "state": "NJ",
            "postal_code": "070441524",
            "country_code": "US",
            "telephone_number": "973-632-9160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "JENNIFER",
        "middle_name": "MARGUERITE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2019-12-14",
        "certification_date": "2019-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA050323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bindoo Rughani-Shah, M.D
• Kaitlyn Diana Ruitenberg
• Brenda Rummel, APN-C
• Jeremy Ruskin
• Kristin L Ryan-Hannaway, OTRL
• Saad a Saad MD PA
• Saad A Saad, M.D.
• Sabamedsupply Corp
• Abiola A. Sadiq, DDS
• Sage Dermatology and Aesthetics LLC

• Family Medicine Physician in Eatontown, NJ
• Providers in Eatontown, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.